Individual
TAMMY ELAINE CORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBA
Contact information
Practice address
651 EDWARD DR, DANIELS, WV 25832-6500
(304) 573-0163
Mailing address
651 EDWARD DR, DANIELS, WV 25832-6500
(304) 573-0163
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
WV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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